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Individual

ERIC PALACIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1021 HEALTH PARK CIR, MOORE HAVEN, FL 33471-6206
(863) 946-0405
(863) 946-0145
Mailing address
4450 S TIFFANY DR, WEST PALM BEACH, FL 33407-3241
(561) 844-9443
(561) 844-1013

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10373
CO
1223G0001X
General Practice Dentistry
Primary
DN 18121
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008856500
FL
Enumeration date
05/26/2009
Last updated
09/12/2013
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